Satisfaction can be defined as the extent of an individual's experience compared with his or her expectations. Patient's satisfaction is related to the extent to which general health care needs and condition-specific needs are met. Evaluating to what extent patients are satisfied with health services is clinically relevant, as satisfied patients are more likely to comply with treatment, take an active role in their own care, to continue using medical care services and stay within a heath provider and maintain with a specific system (JorethaCariline 2003).
On the other hand, patient safety is now the focus of national regulatory agencies as well as local health care institutions. At both the national and local levels, significant resources are directed at achieving patient safety goals. As nurses strive to implement and comply with the regulatory directives regarding safe care.
Care in geriatric patients should be about creating possibilities for older people to do what they want. Respecting t the desires of others is not always easy. Instead we are constantly subjected to norms and values about everything and everyone. The question of scope and form of care of older people is one example of a discussion that contains many different norms and values. Depending on the current value, care is given a certain scope and form. Th three main ideological principles in care of older people of the 1990s were; integrity, safety, and freedom of choice. Not least, these values bought demands on care of older people based on training. (Muhli 2003, Nordstrom 1998).
This study utilized the descriptive research design. It determined the level of satisfaction of elderly patients on the safe and quality nursing care provided by the staff nurses in selected hospital in Laguna. The questions were taken from PRC-BON National Core Competency Standards for Filipino Nurses (Rev. May 2009). The researchers used survey which contains questions about competency of nurses based on safe and quality nursing care to measure the satisfaction of elderly patients. The researchers used this source in order to generate empirical data to be used in answering the research problems. These questionnaires were used as the source of the primary data in obtaining pertinent results necessary for this study. The data was gathered by the researchers from 25 patients each of the two selected hospitals in Laguna, a total of 50 respondents. Those are Sta. Rosa Community Hospital and Dr. Jose P. Rizal Memorial District Hospital. The respondents must be 60 years old above and voluntarily agreed to participate in the study. If the patient is unable to answer the questionnaire due to incapability, the relative may do so. The respondents are handpicked to be included in the sampling frame based on certain qualities for purposes of the study. In accordance to the purposive sampling technique that was used.
The statistical treatments used to answer the questions were the following: For question 1, the researchers used percentage to identify the demographic profile of the respondents. For the question number 2, the researchers used weighted men to identify the level of satisfaction of elderly patients. And lastly for the question number 3, the researchers used Pearson Product Moment Correlation and chi square to determine the magnitude and direction of the relationship between the patients' demographic profile and their level of satisfaction on the safe and quality nursing care provided by the staff nurses.
The following conclusions were drawn based on the findings of the study. Majority of the respondents belongs to female gender, elementary (graduate/undergraduate), and stayed in the hospital for 1-5 days. The patients' level of satisfaction showed highest in terms of administering medications and other health therapeutics and lowest in implementing immediate, appropriate interventions. Demographic profile of the respondent has no significant relationship in their level of satisfaction on the safe and quality nursing care provided by the staff nurses. Therefore, the null hypothesis was accepted. The elderly patients were highly satisfied towards safe and quality nursing care by nurses in Sta. Rosa Community Hospital and Dr. Jose P. Rizal Memorial District Hospital, indicating the kind of service that a nurse render to their patients. The result shows that the demographic profile such as gender, educational attainment and length of hospital stay of the patients did not influence their level of satisfaction towards safe and quality nursing care. It shows that the nurse have a good attitude which every patients appreciate regardless of their demographic profile.
The recommendations for this study are the following. More respondents regardless of their age, to be included in the research, can give a better evaluation on patients' level of satisfaction towards safe and quality nursing care. Future researchers may use all of the 11 core competencies as their dependent variable for better evaluation of the patients' satisfaction. Nurses must continue exerting effort in improving their nursing care and management to achieve a higher level of competency and meet the satisfaction of the patients. More studies which focus on each of the health services rendered by the nurses in other hospitals should be done, for the local government to know what part of that services needs to be improved for the safety and satisfaction of the patient. Future study in comparison of patients' satisfaction in government hospital and private hospital.